娱乐场所女性性工作者无保护性行为特征分析

Characteristics of unprotected sexual behavior and its related factors among female sex workers working in entertainment establishments

目的了解娱乐场所女性性工作者无保护性行为发生状况及主要影响因素。方法采用分层整群随机抽样方法,以长沙市某城区内承认有商业性性服务的21家娱乐场所为研究点,在每家场所随机抽取10名,共210名女性性工作者作为样本,采用自编一般情况问卷、STD相关知识问卷和性行为问卷以面对面访谈方式进行调查。结果共得到有效样本140名,在调查时点前1年内,被调查样本与商业性性伴的无保护性行为发生率为42.5%(54/127);122人(87.1%)报告有非商业性性行为。多因素分析发现无稳定婚姻关系、农村户籍是FSWs与商业性性伴发生无保护性性行为的危险因素。结论研究点FSWs样既有商业性又有非商业性性行为者比例较高,该行为使FSWs群体成为性社会网络中的"桥梁人群",提示HIV从女性性工作者向普通人群传播的可能性正在增加。

[Objective] To understand the prevalence of unprotected sexual behavior and its correlated factors among female sex workers working in entertainment establishments. [Methods] 140 female sex workers were investigated using serf-designed questionnaire, which included background information, STD related knowledge and sexual behaviors. [Results] In 140 sampled, the prevalence of unprotected sexual behavior with the commercial sexual partners was 42.5% （54/127）. The prevalence of non-commercial sexual behavior was 87.1% （122/140）. Multiple logistic regression showed that having an unstable marital status and coming from a rural area were risk factors for FSWs sampled having unprotected intercourse with the commercial sexual partners. [Conclusion] The dominant pattern of sexual risk behavior in FSWs sampled was a combination of commercial and non-commercial sex. As a result of this behavior, this group forms a bridging population＇ for STD/HIV transmission in the social sexual network and, therefore, the risk of HIV Spreading to the general population is increasing.